title: Single-stage correction of urinary incontinence and vaginoplasty in a case of urethral coitus with vaginal agenesis.
abstract: Urethral coitus is a very rare entity which usually presents as urethral incontinence during intercourse and is most commonly seen with intact vagina. Only about 24 cases have been reported in the literature. A presentation in vaginal agenesis is exceedingly rare and poses the surgical challenge of restoring continence without interfering with sex life. Here we report a case of urethral intercourse with vaginal agenesis presenting with incontinence that we treated with McIndoe's vaginoplasty and urethral plication in a single stage, with satisfactory result. To the best of our knowledge, this method of reconstruction has not yet been reported for this condition.
authors.affiliation: Department of Urology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.
authors.forename: Nikhil
authors.initials: N
authors.lastname: Khattar
authors.forename: L N
authors.initials: LN
authors.lastname: Dorairajan
authors.forename: Santosh
authors.initials: S
authors.lastname: Kumar
authors.forename: S
authors.initials: S
authors.lastname: Soundararaghavan
authors.forename: Bipin Chandra
authors.initials: BC
authors.lastname: Pal
mesh_terms: D000015:Abnormalities, Multiple / Q000601:surgery*; D000328:Adult; D003075:Coitus; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D019738:Surgically-Created Structures; D013577:Syndrome; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery*; D014549:Urinary Incontinence / Q000209:etiology / Q000601:surgery*; D013520:Urologic Surgical Procedures; D014621:Vagina / Q000002:abnormalities / Q000601:surgery*